Individual provider Active NPI

Kaneisha Ann Robinson Campbell

  • Speech-Language Pathologist
  • Bryant, AR
National Provider Identifier
1962849406
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2615 N Prickett Rd
Suite 10
Bryant, AR 72022-7523
Phone
(501) 847-7337
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2615 N Prickett Rd
Suite 10
Bryant, AR 72022-7523

Mailing address

12043 Paul Eells Dr
Apt 101
North Little Rock, AR 72113-7338
Phone (501) 859-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1962849406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12043 PAUL EELLS DR",
            "address_2": "APT 101",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721137338",
            "telephone_number": "501-859-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 N PRICKETT RD",
            "address_2": "SUITE 10",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227523",
            "telephone_number": "501-847-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON CAMPBELL",
        "first_name": "KANEISHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.